Welcome!

News Feed Item

MemorialCare Medical Foundation, the Physician Division of MemorialCare Health System, 1st in Orange County and Greater Long Beach Region to Offer Anthem Blue Cross Enhanced Personal Health Care ACO PPO Program

MemorialCare Medical Group and Greater Newport Physicians Join New Program That Improves Care and Coordination of Chronic Conditions with Strong Focus on Prevention and Added Services to Improve Health of Patients

LOS ANGELES and ORANGE Counties, Calif., April 8, 2014 /PRNewswire-USNewswire/ -- Anthem Blue Cross and MemorialCare Medical Foundation, the physician division of MemorialCare Health System, announced that they are collaborating to offer Anthem's Enhanced Personal Care program in the Orange County and Greater Long Beach region. The initiative is designed to provide comprehensive, coordinated medical care to Anthem PPO members through an Accountable Care Organization (ACO) partnership with MemorialCare Medical Group and Greater Newport Physicians—MemorialCare Medical Foundation's extensive physician networks in the two-county area. Edinger Medical Group, an affiliate of Greater Newport Physicians, is also participating in the ACO.

The new program provides high-quality, evidence-based care focused on improving health outcomes, patient satisfaction and value for health plan members with multiple chronic conditions such as heart disease, cancer, pulmonary and autoimmune diseases, orthopedic disorders and other chronic syndromes. Care is organized by teams of physicians, registered nurses and other practitioners who coordinate medical services based on individualized needs and guide members through the health care system in the most effective and efficient ways possible.

Patients enrolled in a traditional PPO plan typically can choose to receive care from many physicians in different provider networks. Under this new ACO, there will be increased emphasis on coordination among all providers involved with the patient's care, which includes a strong focus on prevention and chronic care management with additional services to improve the health of patients.

"We are pleased to bring Anthem's Enhanced Personal Health Care Program to Orange County and Greater Long Beach," says Mark Schafer, MD, CEO of MemorialCare Medical Foundation. "For decades, our physician organizations have been successful in providing exceptional coordinated care to Southland consumers. Anthem's PPO members can now receive the benefits of care management from our extraordinary physicians, nurses and other clinicians."

Patients diagnosed with chronic conditions that require complex treatments and medical regimens face frequent challenges in navigating an equally complex medical system on their own. The health management approach  long embraced by MemorialCare Health System, its hospitals, physician groups and outpatient centers will help Anthem PPO members achieve better medical outcomes and better health overall. In fact, research shows that coordinated care approaches to address chronic conditions result in healthier, more satisfied and productive individuals as well as significant reductions in hospital admissions, health care costs and missed workdays.

"With more than a dozen ACOs across the state, Anthem's size, stature and footprint allow us to provide coordinated care to members across California from San Diego to the Oregon border," said Mark Morgan, president of Anthem Blue Cross. "MemorialCare has already been a great partner – including as part of our exchange network – and we look forward to partnering with them on a program that's proven to help those with significant chronic diseases get better care."

Treatment for the top 1% of patients with chronic conditions accounts for 25% of all health care spending for the privately insured. Between multiple hospital stays, emergency department visits and prescription drugs, medical spending for this group can quickly add up to hundreds of thousands of dollars. Physicians and medical experts agree that a collaborative and coordinated approach to treat chronic conditions is key to successfully improving the health and wellness of patients while helping address the growing costs associated with treatment.

Anthem's initial ACO partners have shown improvements in many clinical areas, including significant increases in numbers of mammograms performed and appropriate prescribing of antibiotics for treating bronchitis. Research also found participants had improved mental functioning, and many in the program reported that care was "received as soon as needed." These results highlight the value achieved by working collaboratively and are notable as they were achieved for PPO enrollees who have the freedom to see doctors outside the ACO.  In contrast, other high-profile ACO programs are available only to the HMO population, which by definition, already has coordinated care within a limited network. 

"Doctors have long searched for better ways to treat the chronically ill," said Dr. Michael Belman, medical director at Anthem Blue Cross. "Anthem's Enhanced Personal Health Care program is a new solution to that age old problem. I look forward to working in collaboration with MemorialCare's medical directors to help improve care for those with multiple chronic conditions. We both believe this approach will improve the quality of care and contribute to slowing the increases in health care costs."

Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association.® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross names and symbols are registered marks of the Blue Cross Association. Also follow us on Twitter at www.twitter.com/healthjoinin, on Facebook at www.facebook.com/HealthJoinIn, or visit our YouTube channel at www.youtube.com/healthjoinin.

MemorialCare Medical Foundation is the physician division of MemorialCare Health System, a not-for-profit integrated health care delivery system with 200 care sites that include six hospitals, medical groups, a health plan, ambulatory surgery centers, imaging facilities, urgent care and numerous outpatient centers in Los Angeles and Orange counties. MemorialCare is one of just 35 global recipients of Gallup Great Workplace Award, recognizing the extraordinary commitment of its 11,000-plus highly engaged employees. More than 2,000 employed and affiliated physicians are part of MemorialCare Medical Foundation's two divisions—MemorialCare Medical Group and Greater Newport Physicians, an Independent Practice Association (IPA). Both have been named top performing physician groups by trade, consumer and patient advocacy organizations. For more information, visit www.memorialcare.org.

SOURCE MemorialCare Health System

More Stories By PR Newswire

Copyright © 2007 PR Newswire. All rights reserved. Republication or redistribution of PRNewswire content is expressly prohibited without the prior written consent of PRNewswire. PRNewswire shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon.

Latest Stories
SYS-CON Events announced today that CA Technologies has been named "Platinum Sponsor" of SYS-CON's 21st International Cloud Expo®, which will take place October 31-November 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA. CA Technologies helps customers succeed in a future where every business - from apparel to energy - is being rewritten by software. From planning to development to management to security, CA creates software that fuels transformation for companies in the applic...
Amazon started as an online bookseller 20 years ago. Since then, it has evolved into a technology juggernaut that has disrupted multiple markets and industries and touches many aspects of our lives. It is a relentless technology and business model innovator driving disruption throughout numerous ecosystems. Amazon’s AWS revenues alone are approaching $16B a year making it one of the largest IT companies in the world. With dominant offerings in Cloud, IoT, eCommerce, Big Data, AI, Digital Assista...
Multiple data types are pouring into IoT deployments. Data is coming in small packages as well as enormous files and data streams of many sizes. Widespread use of mobile devices adds to the total. In this power panel at @ThingsExpo, moderated by Conference Chair Roger Strukhoff, panelists looked at the tools and environments that are being put to use in IoT deployments, as well as the team skills a modern enterprise IT shop needs to keep things running, get a handle on all this data, and deliver...
In his session at @ThingsExpo, Eric Lachapelle, CEO of the Professional Evaluation and Certification Board (PECB), provided an overview of various initiatives to certify the security of connected devices and future trends in ensuring public trust of IoT. Eric Lachapelle is the Chief Executive Officer of the Professional Evaluation and Certification Board (PECB), an international certification body. His role is to help companies and individuals to achieve professional, accredited and worldwide re...
Both SaaS vendors and SaaS buyers are going “all-in” to hyperscale IaaS platforms such as AWS, which is disrupting the SaaS value proposition. Why should the enterprise SaaS consumer pay for the SaaS service if their data is resident in adjacent AWS S3 buckets? If both SaaS sellers and buyers are using the same cloud tools, automation and pay-per-transaction model offered by IaaS platforms, then why not host the “shrink-wrapped” software in the customers’ cloud? Further, serverless computing, cl...
You know you need the cloud, but you’re hesitant to simply dump everything at Amazon since you know that not all workloads are suitable for cloud. You know that you want the kind of ease of use and scalability that you get with public cloud, but your applications are architected in a way that makes the public cloud a non-starter. You’re looking at private cloud solutions based on hyperconverged infrastructure, but you’re concerned with the limits inherent in those technologies.
Wooed by the promise of faster innovation, lower TCO, and greater agility, businesses of every shape and size have embraced the cloud at every layer of the IT stack – from apps to file sharing to infrastructure. The typical organization currently uses more than a dozen sanctioned cloud apps and will shift more than half of all workloads to the cloud by 2018. Such cloud investments have delivered measurable benefits. But they’ve also resulted in some unintended side-effects: complexity and risk. ...
With the introduction of IoT and Smart Living in every aspect of our lives, one question has become relevant: What are the security implications? To answer this, first we have to look and explore the security models of the technologies that IoT is founded upon. In his session at @ThingsExpo, Nevi Kaja, a Research Engineer at Ford Motor Company, discussed some of the security challenges of the IoT infrastructure and related how these aspects impact Smart Living. The material was delivered interac...
The taxi industry never saw Uber coming. Startups are a threat to incumbents like never before, and a major enabler for startups is that they are instantly “cloud ready.” If innovation moves at the pace of IT, then your company is in trouble. Why? Because your data center will not keep up with frenetic pace AWS, Microsoft and Google are rolling out new capabilities. In his session at 20th Cloud Expo, Don Browning, VP of Cloud Architecture at Turner, posited that disruption is inevitable for comp...
It is ironic, but perhaps not unexpected, that many organizations who want the benefits of using an Agile approach to deliver software use a waterfall approach to adopting Agile practices: they form plans, they set milestones, and they measure progress by how many teams they have engaged. Old habits die hard, but like most waterfall software projects, most waterfall-style Agile adoption efforts fail to produce the results desired. The problem is that to get the results they want, they have to ch...
IoT solutions exploit operational data generated by Internet-connected smart “things” for the purpose of gaining operational insight and producing “better outcomes” (for example, create new business models, eliminate unscheduled maintenance, etc.). The explosive proliferation of IoT solutions will result in an exponential growth in the volume of IoT data, precipitating significant Information Governance issues: who owns the IoT data, what are the rights/duties of IoT solutions adopters towards t...
"We are a monitoring company. We work with Salesforce, BBC, and quite a few other big logos. We basically provide monitoring for them, structure for their cloud services and we fit into the DevOps world" explained David Gildeh, Co-founder and CEO of Outlyer, in this SYS-CON.tv interview at DevOps Summit at 20th Cloud Expo, held June 6-8, 2017, at the Javits Center in New York City, NY.
In 2014, Amazon announced a new form of compute called Lambda. We didn't know it at the time, but this represented a fundamental shift in what we expect from cloud computing. Now, all of the major cloud computing vendors want to take part in this disruptive technology. In his session at 20th Cloud Expo, Doug Vanderweide, an instructor at Linux Academy, discussed why major players like AWS, Microsoft Azure, IBM Bluemix, and Google Cloud Platform are all trying to sidestep VMs and containers wit...
While DevOps most critically and famously fosters collaboration, communication, and integration through cultural change, culture is more of an output than an input. In order to actively drive cultural evolution, organizations must make substantial organizational and process changes, and adopt new technologies, to encourage a DevOps culture. Moderated by Andi Mann, panelists discussed how to balance these three pillars of DevOps, where to focus attention (and resources), where organizations might...
"When we talk about cloud without compromise what we're talking about is that when people think about 'I need the flexibility of the cloud' - it's the ability to create applications and run them in a cloud environment that's far more flexible,” explained Matthew Finnie, CTO of Interoute, in this SYS-CON.tv interview at 20th Cloud Expo, held June 6-8, 2017, at the Javits Center in New York City, NY.